Kenneth R. Kelly, D D S, PC
Kenneth R. Kelly, D D S, PC provides General Practice Dentistry in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2006.
- Licensed in
- TN
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
402 Princeton Rd Ste AJohnson City, TN 37601-2057
Phone: (423) 283-4175
Fax: (423) 283-0443
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DS2230 (TN) |
|---|
Record details
| NPI number | 1194734335 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kenneth Kelly — President/Practioner · (423) 283-4175 |
| NPI enumerated | August 5, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 402 Princeton Rd, Suite A, Johnson City, TN 37601-2057 |
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